Bulletin YJM - Heart Foundation of Malaysia

Transcription

Volume 32 1st issue, 2012
KDN No. PP9491/08/2013 (032776)
PLEASE EXERCISE!!
Exercise For Your Health.
Exercise Reduces or Prevents
OBESITY
HEART
PROBLEMS
DIABETES
STROKE
HIGH BLOOD
PRESSURE
STRESS
CANCER
CHRONIC
KIDNEY DISEASE
PREMATURE
DEATH
Malaysians DO NOT exercise: 60% LEAD A SEDENTARY LIFE.
Datuk Dr J S Sambhi
Chairman
Exercise is free & can be tailored to individuals.
YOU ONLY REQUIRE“WILL POWER”.
Gym & Exercise equipment – not necessary!
DATUK DR J.S. SAMBHI
P.J.N., M.B.B.S., F. R.C.O.G,
(London), F.A.M.M
Chairman
BRISK WALKING 30 MINUTES A DAY 3 or 4 times a week, is all
you need. It can be done at any time of your choice,either alone or
with others.
It can be undertaken:a. At HOME or at WORK place
b. In a “friendly environment” outside
c. Shopping complexes (fast walking!!)
PLEASE WALK 10,000 steps a day.
Normal people walk 6 or 7,000 steps, so just add
the EXTRA for your good health.
EXERCISE
AND PROPER
DIET INCREASES
LIFE SPAN.
Remember…
“SMILE AND ENJOY
EXERCISING!!”
YAYASAN JANTUNG
MALAYSIA
The Heart Foundation of Malaysia
Editor’s Note
Member of World Heart Federation
Patron
Ke Bawah Duli Yang Maha Mulia Sultan Pahang
Sultan Haji Ahmad Shah Al-Mustai’n Billah Ibni
Al-Marhum Sultan Abu Bakar
President
Tun Ahmad Sarji bin Abdul Hamid
Vice President
Tan Sri Dato’ Seri Dr Haji Abdul Majid Ismail
Chairman
Datuk Dr J. S. Sambhi
Vice Chairman
Dato’ Gurbakhash Singh
Hon. Secretary
Sir Steven Soh Teck Toh
Our health is a something that should be close
to heart. Our daily decisions determine the state
of our health – how long we decide to sleep at
night, what we eat and drink, and how much
exercise we take. When it comes to health, be it
digestive health, heart health or mental health,
there is no such thing as a fixed day or time to
discuss it.
In the same way, our heart health, which is
integral to our overall health, depends on the
daily choices we make; we should not have to
wait until “World Heart Day” which falls on
September every year to give full attention to our heart health.
Heart problems and heart diseases are exceedingly prevalent worldwide,
and it’s true in Malaysia. In fact, heart disease has been the number one
killer in Malaysia for the past three decades. It is now very common to
hear that many around us suffer from heart problems, have experienced
a heart attack or stroke, undergone bypass surgery or done a balloon
angioplasty (non-surgical procedure to treat coronary artery blockages).
Hon. Treasurer
Dato’ Haji Kamarulzaman Mohamed
Directors
Dato’ Dr Khoo Kah Lin
Pn Hajjah Ainon Haji Kuntom
Dato’ Beh Lye Huat
Datin Margaret Sambhi
Datin Dr Liew Yin Mei
Of concern is the serious public misconception that heart disease is a
“men’s disease” simply because it develops in men 10 years before it
does in women. Each year, over 8.6 million women die from heart disease
and stroke globally, and this is more than the total number of women
who die from all cancers, tuberculosis, HIV/AIDS and malaria combined!
It is the number one killer of women in Malaysia for decades.
Medical Director
Go Red For Women Director
Pn Hajjah Ainon Haji Kuntom
Women also face a higher risk of cardiovascular diseases (CVDs) as they
age due to the physiological changes associated with menopause. A
woman’s natural protection against heart disease – oestrogen (hormone)
– can reduce with menopause, thus leaving her susceptible to CVDs.
Executive Manager
EDITORIAL BOARD
Due to this escalating trend, heart health among women should be given
higher visibility. In the US, research findings have shown that Hispanic
and Asian women are more likely to suffer from heart disease due to a
lack of awareness on heart health or their risk factors. This is one of the
key reasons why creating awareness of heart disease among women in
Malaysia is of utmost important.
Editor-in-chief
Editorial Members
CONTENTS
Chairman’s Message
Editor’s Note
Heart Healthy Week
Medical Updates
Feature Event
Feature Interview
The Heart Programme
Feature Article
1
2
3
4-5
6-7
8
9
10-11
Event Diary
11
Secretariat
6, Lorong Lai Tet Loke 2, Off Jalan Gurney,
54100 Kuala Lumpur.
Tel: 03-2693 4709 Fax: 03-2693 3267
Email: jantung1@streamyx.com
Website: www.yjm.org.my
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12-A, Jln PJS 8/4, Mentari Plaza, Bandar Sunway,
46150 Petaling Jaya, Selangor, Malaysia.
Tel: 03-5637 8588 Fax: 03-5638 9909
Preventing heart disease is possible as most of its contributing factors
are avoidable. The key risk factors include obesity, high cholesterol,
high blood pressure, diabetes, high fat intake, sedentary lifestyle and
smoking. Patients with high cholesterol and a family history of high
cholesterol should start discussing medications with their doctors early.
It is also important for women to recognize the early warning signals of
a heart attack such as angina (commonly known as chest pain), sleep
disturbances, breathlessness and fatigue. Other possible symptoms are
swelling in the legs and feet, and leg pain when walking. Women play
multiple roles in society and because these factors are often present in
women’s daily lives, many women waive aside these symptoms as ‘normal
tiredness’ or a part of the aging process. More worrying is that when they
seek treatment, it is possible that they are not appropriately diagnosed,
thus delaying the treatment or getting the wrong treatment.
It is my fervent hope to see more women empowering themselves
with the knowledge that breast cancer and cervical cancer are not the
only killers of women, but heart disease as well. There should be wider
awareness and more efforts by the public and private sectors to educate
women on heart disease to dispel the myth that heart disease only
affects men. Don’t leave your heart health to chance!
Go Red For Women!
Printed by
YeohPrinco Sdn Bhd
Lot PT 50595, Jalan Seruling 59, Kaw. 3
Taman Klang Jaya, 41200 Klang, Selangor, Malaysia
Tel: 03-3323 3715 Fax: 03-3323 3913
DATO’ DR KHOO KAH LIN
2 Berita Yayasan Jantung Malaysia
Heart Healthy Week
Never too late!
Your health is not something you can leave aside & pick up anytime you want. In order to have a healthy heart, you
need to start caring for your health from a young age. Many of us perceive heart diseases as old folk diseases, which is
WRONG! Heart diseases can strike even the young, and this situation has become more & more prevalent.
Kudos if you are working towards a healthy heart! But if you have yet to start, today is never too late to begin!
School
Go Red For Woman
Labuan
• January 17, 2012
SMK Seremban 2, N. Sembilan
• February 14 – 15, 2012
SMT Kajang, Selangor
• Mar 8 – 9, 2012
Heart Week
Workplace
Johor Bahru (Tebrau City Jusco)
• February 21 – 26, 2012
MNRB, KL
• March 19 – 21, 2012
Berita Yayasan Jantung Malaysia 3
Medical Updates
The New Oral
Anticoagulants in the
Treatment of Atrial
Fibrillation
Atrial fibrillation is characterized by a chaotic electrical activity in the atria that induces an irregular and usually
rapid contraction of the ventricle.
Normal
Atrial Fibrillation
There is an increased risk of stroke up to 5 fold depending on the presence of risk factors using the CHAD-2 tool.
The use of an anticoagulation such as warfarin has been shown to reduce the rate of stroke by 65-68% compared
to placebo. Guidelines strongly recommended warfarin for patients with moderate to high risk of stroke. In patients
with low risk of stroke by CHADS-2 tool (no previous stroke and only one risk factor), either aspirin or warfarin is
reasonable – CHAD-2 Score 1. CHAD-2 Score 0 does not require any medication.
There are problems associated with anticoagulation with warfarin:• Unpredictable pharmacodynamics
• 10-20 fold interindividual difference in dose requirement
• A plethora of interaction with other drugs, certain foods, herbal remedies
• Frequent laboratory monitoring
• Need for initial overlap with parenteral anticoagulant
• Need for bridging anticoagulant in case of surgery (at least if high thromboembolic risk)
• Patient unwilling to take “rat poison”
• Increase bleeding 2.5-5 major bleedings per 100 patient years compared with 1-2 major bleedings in aspirin
treated patients
Newer oral anticoagulant drugs (OAC) have fewer side effects and easier to use:• It does not require blood tests for monitoring
• No drug intervention
• No food interaction
• Efficacy – not inferior to warfarin
• Less Intracranial Haemorrhage, but similar rates of major haemorrhage
Currently there are two groups of oral anticoagulant drugs in the market:a) Direct thrombin inhibitor such as Dabigatran (Pradaxa)
b) Direct factor Xa inhibitor such as Rivaroxaban (Xarelto)
The two trials ROCKET AF (Rivaroxaban) and RE-LY (Dabigatran) showed the efficacy and safety compared with
warfarin.
The table shows a comparison between Rivaroxaban (ROCKET AF) and Dabigatran (RE-LY).
Rivaroxaban 20/15 mg vs warfarin in
ROCKET AF
Dabigatran 150 mg bd vs warfarin in
RE-LY
Design
Double-blind
Open-label
Efficacy
Non-inferior to warfarin
Superior to warfarin on treatment
Non-inferior to warfarin
Superior to warfarin
Safety
Similar rates of major haemorrhage
Less Intracranial Haemorrhage
Similar rates of major haemorrhage
Less Intracranial Haemorrhage
Others
Once daily
Trend towards lower incidence of MI
Adverse events similar to warfarin
Equal discontinuation rates
Twice daily
Increased incidence of MI
Increased dyspepsia
Higher discontinuation rates
The new oral anticoagulants are easier to use, with equal efficacy and less adverse effects. Between the oral
thrombin inhibitor (Dabigatran) and oral Xa inhibitor (Rivaroxaban), Rivaroxaban appears to be slightly better.
Obituary
“Your life is in the hands of God. Your life is not
yours and you may go anytime. If it comes, it
comes. If your time is not up, then you won’t go”
(end of Quote)
of Health. It was during this
period that a deep friendship
developed and remained until
today.
Quoted from an interview with the late Tan Sri Dato’ Dr
Abdul Aziz Zain, Vice President of the Heart Foundation
of Malaysia (YJM) for Berita Yayasan Jantung Malaysia
(May 2008).
On returning to West
Malaysia, Tan Sri Aziz was appointed to the Bench, later
promoted to a Federal Court Judge. In 1970, Tan Sri Aziz
was appointed Chairman of National Electricity Board
Malaysia (now known as Tenaga Nasional Berhad (T.N.B.)
He completed his duty to N.E.B in 1972.
Tan Sri Dato’ Dr Abdul Aziz Zain was born on November
10, 1922 and passed away peacefully in his sleep, on
January 19, 2012. He was 90 years old.
Tan Sri Dato’ Dr Abdul Aziz Zain, joined the Heart
Foundation in 1990, and his many contributions, from
the early days of the Foundation, gave it the push it
needed to grow, and helped bring it to where it is today.
In 1998, Tan Sri Dato’ Dr Abdul Aziz Zain, pioneered
the start of a “Halfway House” on a piece of land
granted to the Foundation, by the Government for
the family members of patients, who were unable to
afford hotel or hospital accommodation. His inspiration,
for the Halfway House, came from a late night visit to
the Institute Jantung Negara (IJN); where he observed
people, including children, sleeping on the floor around
the hallways. These people had come from distant
kampungs, from different states of Malaysia. This
prompted Tan Sri Aziz to establish a Halfway House.
A Lawyer, by Profession, Tan Sri Aziz Zain was seconded
to Brunei as an Attorney General in 1962. Coincidently,
at the same time, Datuk Dr Sambhi (Chairman of
YJM) was also seconded to Brunei from The Ministry
Around this time, the late Tunku Abdul Rahman
Putra Alhaj, the first Prime Minister of Malaysia, was
appointed Secretary General to The Islamic World
Organization, based in Saudia Arabia. Tan Sri Aziz
was appointed as Personal Assistant to the late Tunku
Abdul Rahman Putra Alhaj. In 1974, Tan Sri Aziz Zain
established his own legal firm, Messrs Abdul Aziz, Ong
& Co, in Bukit Bintang, Kuala Lumpur, still in operation
today. In 1980, Tan Sri Aziz was the Chairman of the
Royal Commission investigating a fire, at a school hostel
in Kedah. The late Tan Sri Aziz Zain served in many select
committees of the Government and was also Secretary
to Perkim under the patronage of Tunku Abdul Rahman
Putra Alhaj.
Tan Sri Dato’ Dr Abdul Aziz Zain was a man of vision and
compassion. His demise is a great loss to Malaysia, but
his contributions and services, which have benefitted
many, will always be deeply appreciated by all walks
of life.
Compiled by: Datuk Dr J S Sambhi
Feature Event
Unveiling the Rotary Plaque
The Rotary Club of Kuala Lumpur DiRaja’s initiative in the formation and establishment
of the Heart Foundation of Malaysia (YJM) is officially recognised.
The ceremony to unveil the Rotary Plaque was held at
YJM’s Hall on March 7, 2012.
On arrival, members of the Rotary Club were treated
to a “Rotarian Walkabout” of YJM premises. After
the walk, they congregated in the hall where they
were formally welcomed
by Datuk Dr Sambhi,
Chairman of YJM on the
formation of The Heart
Foundation of Malaysia.
This was immediately
followed by the unveiling
of the plaque by YJM
BOD members,
Datuk Dr Sambhi,
Dato’ Gurbakhash and
Dato’ Kamarulzaman
and Rotarian In-coming
Rotarian Walkabout
President and team,
Dato’ Beh, Dato’ Mus, Chan Kam Fatt.
The Rotary Plaque unveiled
Welcome speech by
Datuk Dr Sambhi,
Chairman of YJM
Datuk Dr Sambhi, Chairman of YJM, then presented souvenirs
to Chan Kam Fatt, President Elect of Rotary Club DiRaja. In
return, Chan Kam Fatt presented the Rotary Club’s banner to
Datuk Dr Sambhi.
To conclude this memorable event, all Members of the Rotary
Club of Kuala Lumpur DiRaja were treated to lunch at YJM’s
premises.
Datuk Dr Sambhi presenting Chan Kam Fatt with a token of
appreciation
Chan Kam Fatt presenting
Rotary Club’s Banner to
Datuk Dr Sambhi
Rotary members enjoy a scrumptious
lunch hosted by YJM
Presentation of
Proton Exora to YJM
In line with Proton’s Corporate
Social Responsibility
programme and their initiative
to bring their brand closer
to the community, Proton
donated a Proton Exora to
Yayasan Jantung Malaysia
(YJM) on 23 Dec 2011.
During the presentation
ceremony, YBhg Dato’ Sri
Mohd Nadzmi Mohd Salleh,
Chairman of Proton Holdings
Sdn. Bhd. handed over the
keys of the Proton Exora
to Datuk Dr J. S. Sambhi,
Chairman of Yayasan Jantung
Malaysia, accompanied by
Dato’ Gurbakhash,
Vice Chairman of YJM and
Sir Steven Soh, Hon Secretary
of YJM.
YBhg Dato’ Sri Mohd Nadzmi Mohd Salleh handing over the keys of Proton’s multi-purpose vehicle (MPV) to
Datuk Dr J. S. Sambhi
Port Dickson
Motivational
Course
“We thank the Board of Directors (BOD) for organising
such a beneficial and motivational course.”
“We were taught how to communicate with our leaders
& our colleagues.”
“We’ve learnt how to implement SMART Goals into our
daily work.”
“We were given the opportunity to discuss the problems
we faced in the office.”
The BOD of YJM aims to organize at least one
motivational course each year, which is targeted at
building rapport amongst YJM colleagues & keeping
them motivated to continue to strive for the benefit of
Malaysia’s community.
Sitting (left to right): Sir Steven Soh Teck Toh (Secretary), Col (Rtd) Mohan Singh
(Motivational Course Conductor), Dato’ Gurbakhash Singh (Vice Chairman), Datuk
Dr J S Sambhi (Chairman), Datin Margaret Sambhi (Board of Director/Executive
Manager) and Datin Davinder Kaur.
Jungle Trekking to Light House
This year’s motivational course was conducted by Lt Col
(Rtd) Mohan Singh Rendhawa in Casa Rachado Resort
Port Dickson. Activities included: Introduction of SMART
Goals & groups work on SMART Goals with objectives,
Jungle Trekking to Light House, Talent Show case, Raft
Building & Sailing and etc.
Raft Building & Sailing
Feature Interview
Getting
to Know
Dato’ Dr Khoo
Consultant Cardiologist & Director of Heart Foundation
Malaysia (YJM)
He constantly strives to make the world a better place, and
because of this attitude, Dato’ Dr Khoo Kah Lin never
hesitates to put himself on the line if he believes that he is
helping others. His many significant contributions mark him
as someone who has the best interests of others at heart.
Dato’ Dr Khoo Kah Lin was recently conferred with not
one, but two, Gold Medal awards. The first award from
the Rotary Club of Malaysia was the Rotary Research
Gold Medal Award. More recently, he received an award
from the Malaysian Medical Association, which is the
Gold Medal of the Malaysian Medical Association for
Outstanding Person, during their AGM in Sungai Petani,
Kedah.
Dato’, what motivated you to become
a doctor?
Since the patients need to have LDL apheresis done on
a fortnightly basis, the cost is quite substantial. Because
of that, I also need to take the initiative to identify and
secure donations from corporate sponsors. All this is
done in order to keep the cost of treatment for deserving
patients free.
Dato’, how do you maintain your
energy level?
I was quite a sickly child when I was young. Back then,
public transportation was nearly non-existent, and since
my father was out working, my mother had to care for my
siblings and me. Unfortunately, the nearest clinic was quite
far away and my mother had no way of getting me to the
far-away clinic whenever I was ill.
I am a firm advocate of keeping myself physically fit. I love
taking walks. If I’m taking my lunch at a restaurant which
is just a 5 minute drive away, I would rather walk there.
In fact, my normal morning routine is to get up at five
and take a brisk walk before heading over to the hospital.
Other than my morning walks, I also meet up with a few
friends at the Chin Woo Stadium twice a week, where we
practice Tai Chi for at least half an hour.
However, I was lucky as there was a doctor who frequently
made house-calls to the families in the neighbourhood.
What truly touched me was the fact that the doctor
frequently did not accept payment for treating me and this
subsequently left a deep impression on me.
I do my best to live a healthy lifestyle; after all, I can’t
very well be telling my patients to exercise if I don’t do
it myself. Of course, I’m no monk; I do have my vices,
and the one I most dearly love to indulge in is a cup of
affogato.* That’s something I can never say no to!
This early encounter touched me deeply and was the
main driving force behind not just my desire to practise
medicine, but also to contribute back to society in the
form of establishing and setting up the Sau Seng Lum
Cholesterol Dialysis Centre in PJ Old Town.
What is your philosophy in life?
Can you elaborate more on the Sau Seng
Lum Cholesterol Dialysis Centre and your
role there?
I believe that wealth is not something we should cling to,
and that we should give freely back to the community not
just in monetary terms, but also with our time, energy, and
effort. I feel that my life has been blessed; throughout my
life, I have often met people who have gone out of their
way to help me, and whenever I can, I try to do the same.
It is always better to give than to receive, so if you can,
please make it a point to do some good every chance
you get!
The Sau Seng Lum (PJ Old Town) Cholesterol Dialysis
Centre provides LDL-apheresis – a much needed treatment
for patients who suffer from Familial Hypercholesterolemia
(FH) at no cost.
My team and I often review each patient before
ascertaining if they are eligible for the free treatment at
the dialysis centre.
Mahatma Gandhi once said, “The best way to find
yourself is in the service of others. You must be the change
you wish to see in the world.”
* An affogato is a coffee-based beverage that takes the form of a scoop of
vanilla gelato or ice cream topped with a shot of hot espresso.
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What are your heart’s risk factors?
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Malaysians die of
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Heart diseases – the number 1 killer
of Malaysians for over 3 decades!
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Feature Article
Rawatan WANITA
JANTUNG-KU Sayang
Dr. Abd. Syukur Bin Abdullah
Consultant Physician & Clinical Cardiologist, Hospital Sultanah Bahiyah, Kedah
(Disunting oleh: Puan Hajjah Ainon Hj. Kuntom)
Wanita memainkan peranan yang penting dalam masyarakat Malaysia
kini. Berperanan sebagai isteri, ibu, kakak, pengurus rumahtangga,
pekerja di pejabat, kilang dan sebagainya, wanita bukan sahaja
tunjang keluarga tetapi juga kepada sosio-ekonomi amnya. Dalam
kesibukan dan kesuntukan masa, mereka alpa untuk menjaga
kesihatan diri sendiri, sehingga lupa untuk menerapkan cara dan gaya
hidup sihat serta meluangkan masa untuk memilih pemakanan yang
berzat dan seimbang.
Kadar kematian wanita akibat dari CVD
apabila dibandingkan dengan kematian
dari penyakit kanser adalah lebih tinggi
Justeru itu, akibat peningkatan umur pelbagai masalah kesihatan mula
dihadapi oleh golongan ini. Penyakit jantung koronari adalah penyakit
yang kerap dihadapi dan melibatkan kos yang tinggi untuk rawatan
di wad dan juga rawatan susulan. Faktor-faktor risiko yang dikenalpasti adalah seperti penyakit darah tinggi (hipertensi), kadar gula yang
tinggi (diabetes) dan masalah kegemukan melampau (obesity) dimana
mereka mempunyai berat badan yang tidak seimbang dengan Body
Mass Index (BMI).
Kematian wanita disebabkan serangan penyakit jantung adalah lebih
tinggi daripada kematian disebabkan penyakit kanser. Sila lihat rajah 1.
Kadar kematian wanita akibat dari
penyakit jantung dan angin ahmar
Darah Tinggi
Di Malaysia, mengikut kajian National Health
Morbidity 3 (NHMS3 2006), 43% wanita melebihi
umur 30 tahun mengidap darah tinggi. Angka ini
amat membimbangkan dan peratusan akan semakin
tinggi apabila usia wanita semakin meningkat. Di usia
melebihi 60 tahun, bacaan sistolik selalunya lebih
tinggi dan dalam usia emas ini juga, 80% wanita
mengidap darah tinggi dan ini secara tidak langsung
meninggikan risiko penyakit jantung koronari.
Obesiti
Senario, kes di mana seorang wanita pertengahan umur mengadu sakit
dada (angina), pendek nafas dan semput terutamanya di waktu malam
(paroxysmal nocturnal dyspnea), berpeluh semasa sakit dada adalah
merupakan petanda gejala serangan jantung (myocardial infarction) dan
memerlukan rawatan segera di hospital. Adalah diingatkan kunjungan
dengan seberapa segera dapat mengelakan komplikasi lain serangan
jantung seperti lemah jantung (heart failure). Walaubagaimanapun,
simptom yang kronik tidak boleh diberi perhatian yang ringan. Kurang
pengetahuan dan malas untuk berjumpa doktor bagi tujuan saringan
menyebabkan wanita sering ketinggalan dalam mendapat diagnosa ujian
awal penyakit. Terdapat beberapa ujian saringan seperti ujian threadmill
(exercise stress test) MSCT (Multi-slice CT Coronary), dan dalam kes-kes
tertentu berisiko tinggi, angiogram akan dilakukan.
Wanita dan Penyakit Jantung
Kempen GO RED FOR WOMEN yang
dilancarkan kini secara meluas ke seluruh
negera perlu disambut baik agar dapat
meningkatkan kesedaran dikalangan wanita.
Seorang wanita yang putus haid (menopause) akan
mengalami ketidak-seimbangan hormon dalam badan
yang menjadi penyebab penyakit jantung koronari.
Berbanding keadaan sebelum dan sesudah putus
haid, wanita mengalami fasa perubahan pada tubuh
badan mereka. Perut menjadi mengelebih
disebabkan kadar pengagihan lemak
dibadan mulai menjadi tidak normal.
Keadaan menjadi bertambah teruk jika
mereka kurang bersenam atau beriadah.
Mereka senang mendapat darah
tinggi, ketinggian tahap
kolestrol dan kencing
manis; disebabkan
hormone insulin
mula mengalami
pengurangan. Wanita
usia ini mempunyai
2 ke 3 kali ganda
risiko penyakit jantung
dari wanita belum putus haid. Ini
turut berlaku pada wanita yang
membuat pembedahan terhadap
sistem haid mereka.
Kombinasi Penyakit Darah Tinggi, Kencing Manis dan Obesiti
Begini keadaan
saluran/pembuluh
jantung bagi
pesakit yang
mempunyai
ketinggian tahap
kolesterol, darah
tinggi, kencing
manis dan obesity.
Kombinasi risiko ini menjadi lebih parah untuk seorang wanita mendapat penyakit jantung
koronari. Malah gejala lemah jantung, sama ada sistolik atau diastolic dan angin ahmar (strok)
yang lebih kerap pada mereka yang mempunyai kombinasi ini. Kurang pengambilan garam
dan gula dapat mengurangkan risiko ini. Wanita juga mempunyai kadar yang lebih tinggi
berbanding lelaki untuk mendapat Hipertensi Kot Putih (tekanan darah tinggi mendadak bila
berjumpa doktor). Pengunaan pil kontraseptif (perancang) boleh menyebabkan darah tinggi
dikalangan wanita muda.
Wanita dan Tabiat Merokok.
Pencegahan Adalah Lebih Baik Dari Rawatan
Statistik di Malaysia, menunjukan sebanyak 4.4% wanita
dibawah umur 30 tahun merokok. Angka ini pastinya
membimbangkan kerana wanita perokok mempunyai 5 kali
ganda risiko lebih tinggi untuk mendapat penyakit jantung
koronari berbanding wanita bukan perokok. Wanita yang
merokok berisiko tinggi dari lelaki yang merokok. Merokok
boleh meningkatkan kadar lipid (lemak) dalam badan,
inflamasi serta “oxidative stress”, menyebabkan serangan
jantung diusia muda, kerana saluran darah tersumbat.
Perokok juga lebih mudah mendapat pembentukan
Thrombosis (darah beku) dikalangan orang muda yang boleh
membawa maut.
Kita mungkin tidak bernasib baik jika mempunyai sejarah keluarga
menghidap penyakit jantung terutamanya di usia muda (premature
CVD). Kos rawatan seperti angiogram, angioplasty dan lain lain
bukanlah murah dan terpaksa ditanggung oleh pesakit. Mulakan
langkah pencegahan dengan melakukan senaman, berjalan kaki,
beriadah dan bersukan, mengurangkan makanan tinggi lemak, gula
dan karbohidrat. Malah, tabiat merokok patut diberhentikan dan
pengawalan stress patut di jalankan. Selalulah berjumpa dengan doktor
atau pakar jantung bagi mendapatkan makluman serta langkahlangkah pencegahan mengekang penyakit jantung koronari ini. Ujian
saringan seperti Threadmill Test, dapat membantu saringan awal bagi
kes kes berisiko.
Event Diary
AWARENESS PROGRAMME YEAR 2012
NO
DATE VENUE
H
EALTH CHECK / HEART WEEK
1
2
3
4
5
6
19 – 24 June
3 – 8 July
19 – 24 September
1 – 6 November
27 November – 2 December
28 December – 3 January
AEON Kinta City, Ipoh, Perak
Alor Setar, Kedah
AEON Kepong, Selangor
AEON Equine Park, Seri Kembangan
AEON Seremban 2, Negeri Sembilan
Leisure Mall, Cheras, Selangor
WORLD HEART DAY 2012
7
30 September
Taman Tasik Titiwangsa
GO RED FOR WOMEN 2012
8
9 June Kluang, Johor
COMMUNITY
9
10
11
12
4 – 5 August
9 September 6 – 7 October
15 – 16 December
Rawang, Selangor
Kampar, Perak
Perlis / Kelantan
Jerteh, Terengganu
1 June
JKR, (Architect), KL
WORKPLACE
14
F
O
R
I
N
F
O
R
M
A
T
I
O
N
YAYASAN JANTUNG MALAYSIA
The Heart Foundation of Malaysia
Name:___________________________________________________________________________________________________________________
Address:_ ________________________________________________________________________________________________________________
Tel: (O) ____________________________________________________(H)_ __________________________________________________________
h I am enclosing my comments.
h Please include my name in the mailing list of Yayasan Jantung Malaysia for future publications.
h I am enclosing herewith cheque/draft/money order for RM______________ being my donation.
(Tax-exempt receipt will be issued)
All contributions are to be account payable to Yayasan Jantung Malaysia and sent to:- The Secretariat, Yayasan Jantung Malaysia,
6, Lorong Lai Tek Loke 2, Off Jalan Gurney, 54100 Kuala Lumpur. Tel: 03-2693 4709 Fax: 03-2693 3267
Email: jantung1@streamyx.com Website: www.yjm.org.my

Bulletin YJM - Heart Foundation of Malaysia

Transcription

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